Individual
KATHLEEN R TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D, L.M.N.T., C.D.E
Contact information
Practice address
1850 RUSTY LN, LINCOLN, NE 68506-2350
(402) 489-1607
Mailing address
1850 RUSTY LN, LINCOLN, NE 68506-2350
(402) 489-1607
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
439
NE
133VN1006X
Metabolic Nutrition Registered Dietitian
439
NE
261QC0050X
Critical Access Hospital Clinic/Center
439
NE
Other
Enumeration date
04/11/2007
Last updated
04/18/2011
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